Chronic suppurative otitis media (CSOM) is one of the most common childhood infectious diseases worldwide and is a common cause of hearing impairment in resource-limited settings, although it is less frequently seen in resource-rich settings [1]. It is characterized by chronic drainage from the middle ear associated with tympanic membrane (TM) perforation (picture 1) [2,3]. CSOM is often preceded by an episode of acute otitis media (AOM).

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